Metabolic health

Diabetes & metabolic health

Living with diabetes involves decisions throughout the day. This pathway brings movement, nutrition and practical routines into a plan shaped around your health, your medicines and the activities you want to manage more confidently.

An illustrative family conversation around a tablet
A personal goal.
A connected care plan.
Illustrative care scene

The starting point

Build strength and sustainable habits alongside your existing diabetes care plan.

Adults with prediabetes or type 2 diabetes who want support with activity, strength and everyday health. People with type 1 diabetes need an individually adapted plan agreed with their diabetes team before participation.

01 / Your goal

Make it personal.

02 / Your plan

Keep it connected.

03 / Your next step

Review it together.

What support can look like.

Your programme is shaped around your health, preferences and clinical needs.

01

Movement that fits

Graded strength, walking and balance practice can be adapted to your starting ability, foot health and other medical needs.

02

Food and daily routines

Nutrition support can help translate your clinical advice into workable meals, activity routines and habits that fit your household.

03

Useful follow-through

Review symptoms, participation and relevant glucose information with your care team, including concerns around activity and low blood glucose.

Your journey

Small steps.
A clear direction.

  1. Assessment

    Review your history, medicines, existing results, activity and any foot, eye or heart precautions.

  2. Your plan

    Agree achievable goals and an activity plan that fits your diabetes team’s guidance.

  3. Supported practice

    Build manageable movement and food routines, with the supervision your needs require.

  4. Review

    Compare function and daily experience, and share concerns that need your clinician’s attention.

Make progress
personal.

The right measures help the team understand whether the plan is useful and what should happen next.

How measurement works
01 / Review together

Strength and everyday movement, such as rising from a chair

02 / Review together

Walking tolerance, balance and foot concerns where relevant

03 / Review together

Your goals and wellbeing, alongside clinician-reviewed glucose or HbA1c results when available

Measures are chosen by the clinician. These are examples, not a standard test package.

A team that fits your needs

Connected professional support.

  • Treating physician, diabetologist or endocrinologist
  • Physiotherapist or qualified exercise professional
  • Dietitian
  • Care coordinator; foot-care or psychological input when indicated

The centre confirms the professionals involved and their availability.

Working with your hospital

The right care, in the right place.

Before a planned hospital admission, the treating team sets any activity, medicine and nutrition instructions. After discharge, support can be reconsidered around your recovery, changed medicines and mobility. The aim is to carry an agreed plan into daily life while keeping your doctor informed.

Our referral approach

Your questions, answered.

Can I stop my diabetes medicines if I become more active?

Only your prescribing clinician can change treatment. Activity can affect glucose levels, so your plan must account for medicines, meals and the monitoring your diabetes team recommends.

Do I need a new set of blood tests?

Bring relevant results you already have. Your clinician decides whether further tests are needed; there is no single blood-test panel required for everyone.

What if I have numb feet or difficulty walking?

Tell the team before starting. Foot health, sensation and balance can change which activities are appropriate and whether specialist review or more support is needed.

Clinical perspective

This programme supports diabetes management; it does not promise a cure or replace insulin. Medicine changes belong to your clinician. Participation and professional input depend on suitability and local availability.

Further reading

Start a conversation

Start with your story.

Find your local centre and discuss what support may be right for you.

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